Individual provider · Type 1 NPI

Coreena J. Bradley, LPN

Licensed Practical Nurse · Evanston, WY

NPI number 1619257540 Active

Practice location

75 Yellow Creek Rd, Ste 105
Evanston, WY 82930-5235

Fax (307) 789-4225

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X245 (WY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1619257540

Coreena J. Bradley, LPN's National Provider Identifier is 1619257540, issued on Aug 23, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Evanston, WY. The record was last updated on Aug 23, 2011.